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- Title
Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder.
- Authors
Van Cleave, Jeanne; Holifield, Chloe; Neumeyer, Ann M.; Perrin, James M.; Powers, Erin; Van, Linda; Kuhlthau, Karen A.
- Abstract
We examined barriers and facilitators to expanding primary care’s capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs’ ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.
- Subjects
TREATMENT of autism; HEALTH services accessibility; INTERVIEWING; RESEARCH methodology; MEDICAL care; MEDICAL quality control; MEDICAL personnel; MEDICAL referrals; GENERAL practitioners; PRIMARY health care; COMORBIDITY; BEHAVIOR disorders; PARENT attitudes; PATIENTS' attitudes; FAMILY attitudes
- Publication
Journal of Autism & Developmental Disorders, 2018, Vol 48, Issue 12, p4222
- ISSN
0162-3257
- Publication type
Article
- DOI
10.1007/s10803-018-3630-x